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Rapid degradation of left ventricular function after permanent right ventricular pacing in patients with high-grade atrioventricular block

Heart Science Journal · Vol. 6 No. 1 (2025) · hlm. 126–129

DOI
10.21776/ub.hsj.2025.006.01.22
ISSN
2721-9984, 2721-9976
Terbit
2025-01-31
Penerbit
Universitas Brawijaya
Bahasa
en
Lisensi
creativecommons.org/licenses/by/4.0

Abstrak

Background: Permanent right ventricular (RV) pacing is a standard for high-grade atrioventricular (AV) block treatment. However, it may result in left ventricular (LV) dilatation, systolic dysfunction, and heart failure (HF) as a consequence of ventricular dyssynchrony and an abnormal myocardial contraction pattern. Pacing-induced cardiomyopathy (PICM) can develop months or years after implantation of a permanent pacemaker (PPM) in patients who have long-term and high-burden RVP. Case Illustration: We reported a case of a 56 years old Asian female having a record of PPM on VVIR mode implantation due to a high grade AV block presented with shortness of breath and bilateral leg swelling. Conclusion: Echocardiography showed a significant decrease in LV systolic function less than two years after PPM implantation. Coronary angiography showed widely patent vessels; subsequently, His-Bundle Pacing (HBP) was scheduled on the patient.

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  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya35
Anna Fuji RahimahUniversity of Brawijaya18
Ardian RizalUniversity of Brawijaya18
Budi SatrijoUniversity of Brawijaya17
Cholid Tri TjahjonoUniversity of Brawijaya13
Heny MartiniUniversity of Brawijaya11
Novi KurnianingsihUniversity of Brawijaya11
Djanggan SargowoUniversity of Brawijaya8
Sasmojo WiditoUniversity of Brawijaya7
Tria Yudha NugrahaUniversity of Brawijaya6
Wella KarolinaUniversity of Brawijaya6
Valerinna YogibuanaAfiliasi tidak diketahui6
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya4
Lutfi Hafiz ZunardiUniversity of Brawijaya4
Yuri AfifahUniversity of Brawijaya4
Akhmad Isna NurudinullohUniversity of Brawijaya4
Hayla Iqda MillisaniUniversity of Brawijaya3
Danti Utami SetyowatiRSUD Prof. Dr. Saiful Anwar Malang3
Yoseph Budi UtomoUniversity of Brawijaya3
Putri Annisa KamilaUniversity of Brawijaya3
Muhammad Rizki FadlanUniversity of Brawijaya3
Yudi Putra ApridityaUniversity of Brawijaya3
Fahreza CaesarioUniversity of Brawijaya3
Krishna Ari NugrahaUniversity of Brawijaya2
Seprian WidasmaraUniversity of Brawijaya2
Icmi Dian RochmawatiUniversity of Brawijaya2
Nisa Amnifolia NiaztaUniversity of Brawijaya2
Fahmy RusnantaUniversity of Brawijaya2
Oktafin Srywati PamunaUniversity of Brawijaya2
Ayu Asri Devi AdityawatiUniversity of Brawijaya2
Dea Arie KurniawanUniversity of Brawijaya2
Tri AstiawatiUniversity of Brawijaya2
Saskia Dyah HandariUniversity of Brawijaya2
Teguh AryanugrahaUniversity of Brawijaya2
Yoga WaranugrahaUniversity of Brawijaya1
Veny KurniawatiUniversity of Brawijaya1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Rapid degradation of left ventricular function after permanent right ventricular pacing in patients with high-grade atrioventricular block</dc:title>
	<dc:creator xml:lang="en">Setiawan, Dion</dc:creator>
	<dc:creator xml:lang="en">Prasetya, Indra</dc:creator>
	<dc:creator xml:lang="en">Anjarwani, Setyasih</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:subject xml:lang="en">Atrioventricular Block</dc:subject>
	<dc:subject xml:lang="en">Right Ventricular Pacing</dc:subject>
	<dc:subject xml:lang="en">Pacing-induced Cardiomyopathy</dc:subject>
	<dc:description xml:lang="en">



Background: Permanent right ventricular (RV) pacing is a standard for high-grade atrioventricular (AV) block treatment. However, it may result in left ventricular (LV) dilatation, systolic dysfunction, and heart failure (HF) as a consequence of ventricular dyssynchrony and an abnormal myocardial contraction pattern. Pacing-induced cardiomyopathy (PICM) can develop months or years after implantation of a permanent pacemaker (PPM) in patients who have long-term and high-burden RVP.
Case Illustration: We reported a case of a 56 years old Asian female having a record of PPM on VVIR mode implantation due to a high grade AV block presented with shortness of breath and bilateral leg swelling.
Conclusion: Echocardiography showed a significant decrease in LV systolic function less than two years after PPM implantation. Coronary angiography showed widely patent vessels; subsequently, His-Bundle Pacing (HBP) was scheduled on the patient.



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	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2025-01-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/11140</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2025.006.01.22</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 6 No. 1 (2025): Challenges in Managing Acute Heart Failure; 126-129</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2025.006.01</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/11140/482</dc:relation>
	<dc:relation>10.21776/</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Dion Setiawan, Indra Prasetya, Setyasih Anjarwani, Ardian Rizal</dc:rights>
	<dc:rights xml:lang="en">http://creativecommons.org/licenses/by/4.0</dc:rights>
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